Jennifer Michelle Craig, RD, CSR, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

951 Issued in SC

Practice address

2500 Elms Center Rd
N Charleston, SC 29406-9844

Phone

(843) 572-7727

Fax

(843) 569-5881

NPI assigned

Oct 6, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1891079018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118008",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294238008",
            "telephone_number": "843-572-7727",
            "fax_number": "843-569-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ELMS CENTER RD",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294069844",
            "telephone_number": "843-572-7727",
            "fax_number": "843-569-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "RD, CSR, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "SC",
            "license": "951",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DT1038",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon M Conrad, D.O.
• Rosaleen Cook
• Marion Leslie Cooper II, M.D.
• Wendy Owen Cordina
• Denise Cornish-McTighe, M.D.
• Nancy Ann Creveling, R.N.
• Gary Crickenberger
• Gary Michael Curtis, MD
• Melissa Hancock D'Arcy, RN
• James D Dalton Jr., MD

• Registered Dietitian in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.